| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $69.06 | $69.06 | $69.06 | |
BCBS
| Professional | $155.00 | $174.00 | $209.00 | |
Cigna
| Professional | $82.46 | $96.92 | $172.76 | |
United
| Facility | $1,275.00 | $1,275.00 | $3,239.00 | |
United
| Professional | $106.69 | $188.42 | $298.30 |